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Diagnosis and treatment of giant cell tumor in the thoracic spine

✍ Scribed by Shang-Cheng Yan; Qi-Ming Xu; Jing-Rong Lin

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 553 KB
Volume: 40
Category: Article
ISSN: 0022-4790
DOI: 10.1002/jso.2930400213

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✦ Synopsis

A 23-year-old woman with incomplete paralysis was operated upon for a giant cell tumor in the thoracic spine. X-ray films revealed a destruction lesion in the vertebral body of the 12th thoracic vertebra. On the plain thoracic computed tomography scan, the finding was a soap-bubble appearance with a linear high density area in the mass lesion which destroyed the vertebral body. Preoperative angiography showed no apparent feeding artery to the tumor tissue; preoperative myelography showed incomplete block at the level of the 12th thoracic vertebra. A radical operation was carried out in one stage via a combined antero-posterior approach. In order to give radiotherapy immediately after operation, a vascular pedicled rib graft was made. This paper discusses the role of thoracic computed tomography scan in the diagnosis of giant cell tumor and the surgical techniques used in treatment.

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